NO PERMIT NUMBER (2)22123 Stocklmeir Cr. T _ , 7
LVI NU.
1 t
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO
9615
FILE NO. 51,395
DATE 11/30 19 76
Application is hereby made for a permit to
ConSt (Plan A) a 2 story, type I & J
to be occupied only as Single family dwelling
in accordance with plot plan, plans and specification filed herewith.
56,000
ESTIMATED VALUE OF IMPROVEMENTS
FEE $ 199.00 PLAN CHECK $
OWNER May Investment ADDRESS 21060 Homestead Rd. #207
Cupertino
PHONE 739-5446
CONTR, Mayco Const. ADDRESS Same as owner
PHONE 733-9693 STATE LICENSE 284737
APPROVED -- James H. isk/(
BUILDING INSPECTION RECORD
DATE
SPECTOR
DATE
INSPECTOR
FOUNDATION
(B
FLOOR STEEL
PRE-GUNITE
FRAME
BOND BEAMS
LATH
WALLBOARDS - INT. & EXT.
FIREWALLS
MEMBRANE
LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
-
UNDER -FLOOR
TIEDOWNS
-MISC-
DIAPHRAMS
EC
MOORE BUSINESS rORMSIN, I,
ELECTRICAL INSPECTION RECORD
RESIDENTIAL
DATE
INSPECTOR
COMMERCIAL
DATE
INSPECTOR
UNDERGROUND ROUGH
UNDERGROUND ROUGH
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
.i
MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
HEATING & A/C INSPECTION RECORD
DATE
INSPECTOR
DATE
INSPECTOR
BACK FLOW REQUIRED
UNDERFLOOR S.M.
BACK FLOW INSTALLED
DUCTS 81NSULATION g
J
UNDERGROUND ROUGH
FLUES 8 COMB. AIR
'
PARTIAL ROUGH
c
CONDENSATE DRAINS
ROUGH COMPLETE
FINAL APPLIANCE
ROOF DRAIN & LEADERS
MAIN DRAIN
y
FINAL GAS
FINAL PLUMBING
7
MISCELLANEOUS
m
CERTIFICATE OF,CQMPL•ETION
BUILDING INSPECTOR'S OFFICE'
CITY OF CUPERTINO
DATE / % , Iq % 7 BLDG. PERMIT NO. 6'1) 3S
THE BLDG. LOCATED AT �' 1 �el�C,r-r�,yz1y" 'j 01
OWNED BY
HAS BEEN . .....LE.. PD�FOR USE
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�[rf' Sewer Connection Sanitary Permit No....... .(�.-------
Plumbing Final Plumbing Permit No.s��.n37,
Lot No.............n------ - ---
Owr
At
To
You are hereby
Owner or Ten
At
No. of Wires.
Motor Load _
Heating Load
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO
to Connect electrical service far
�4 `e,
1
Size of Wires
Voltage—
K. W._
Size of Switch
OFFICE COPY
19- 1
1 Light ✓ 110 New Service/
No. of Meters Reconnect
Heor '120 �!� Three Wire More Service
No. of Add. Meters power
r� three Phaster
ELECTRICAL INSPECTOR � � I /A)"•
To
DT CITY OF CUPER-nN0' COPYE
(( GAS SERVICE NOTICE
u to Iq% 7
i
You are hereby authorized to connect the GAS service for
Owner or Tenant
At -)_2./
New Sery
No. of Meters Reconnect
No. of Add. Meters Move Service
(� M/�ov Meter /
PLUMBING INSPECTOR �i,iXO / IPA A ODD,
ROUTE SLIP
File No.
Date
Location1
Subject
Notes
Approv,6 —
Date llaspecYor•
1-2— 03 LOT NO.
NO. STREET 0
C:7 C ? .9
'INO'
AU G n 19 PPLICATION FOR ELECTRICAL PERMIT
A" Permit No.
Date A / i� ' 19�/•� _/L Fee E�
v
Applicoti n is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of.the
City of Cupertino, and all other laws applicable thereto.
Work To Be f��eX J. L
Performed //.4 �41
Address �%164�1 #thd'M119y//rt/�
1 AGREE I WILL NOT VIOLATE ANY OF THE
COMPENSATION LAWS OF THE STATE OF
® 1•
ITEM NEW I RPL FEES
Number of Outlets
Number of Switches
Number of Receptac
dL
Number of Fixtures
Ranges or Ovens K.V
Size of Main Service
Number of Meters
Number of Panels
Dryers
Motors:
H.P. Phase
H.P. Phase
H.P. Phase
Power Poles
Misc.
Permit Fee
H.P. Chart
Total Fees
LA
Nd /�•'� STRiD4��Iilrs LOTNO.EET 7
CITYOFCUPERTINO
APPLICATION FOR APPLIANCE PERMIT
c,���
Permit No.
Date C` , 19_ Fee S�� av�y
JAIN
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in:
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all,
other laws applicable thereto.
Use of
Premises
Owner
Phone
By
Contractor, Agenr
Work To Be
Address
ASCO AIR CONDITIONING INC.
Address 40 EAST SAN MARTIN AVE.
SAN MARTIN, CA 95046
case C-a❑ LtA' 683-4101 265-2447
State License $79.0�'p Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA. /x\
e L.
APPLIANCE 11 UNITS I FEES
OR
ABSORP.
EXHAUST
THE ABOVE
PERMIT FEE
22123 Stocklmeir C•t. 0 LOT NO. T.ct #7
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No.
j /. 3 /
Dote M{LC� f ' 1C� 77 , 19_ Fee $
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Be
Premises Home Performed
Owner Ma3LcO Address —21060 Homestead Rd #216
Phone 733-9693
B G .one r fss17 -St- rear a sal in
nn
r i#38� t6250 Address g_—T—�&
Phone_
State License Approvedriumt,m
,/ WORKMEN'S
COMPENSATION 1 AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® c.
APPLIANCE 11 UNITS I FEES
PERMIT FEE
TOTAL FEE
LOT NO.
NO STREET
.a 7
CITY OF CUPERTINO
JAB �9 icAPPLICATION FOR PLUMBING PERMIT
D E 5 ,S A ,j,(� .. Sanitary No.
Dale I r`� 19_ Permit No.
Fee S 3 C7
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino and all other laws applicable thereto.
Use of / _ Work forTo
Premises Permed
Owner ( Address �/
Phone
B�—.11 AVL.iL 7t L.02'11 ANY Address
_Ccop�ew , Ag 6 .0
Phone 'f` ,ry '`/
State License �F6._� \ �s �� �' Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
® u
FIXTURES
NUMBER
MAIN DRAIN
Units
Fees
Units
Fees
Water Heater
2
Size /
Water Closet
Material
Bath Tub
To Curb
Shower
2'
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Z'
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb. Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
/
Restaurant Sink
Material
Sand Trap
TOTAL FEES 7.,
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler System
Water Sys. Fee
Relief Value
Gas Fee
Z
Voc Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
—
Total
Total Fee
C
S7-OCV1-^freA C7 LOT NO.
NO. STREET GAP. ( .TL 00 0
CITY OF CUPERTINO (vnt.
q2
z a APPLICATION FOR BUILDING PERMIT l FEE-
Z CIT'! C? CU,'2..TlrlU Building Per. No. r/.3 4J
Date , 19 r
0 O Sanitary Per. No
3 V Application) is he made for a permit to
a story; Type Structure
to be occupied only as in accordance with
a
Z ,a Plans, Specifications and Plot -Plan filed herewith.
F Estimated Value of Improvements, SS.0000
a u_ PI Ck Fee $
O O It is hereby agreed that the requirements of the 0
3 Cupertino Building and Zoning Ordinances and all Fee $_ �9
p a other laws applicable to the construction, location, and
Z use of buildings within the City Cu rtino ill be Total Fee $
oz complied
Goi
. N iy1 l i✓U �i77�i %�jZS�f __--__1�ic acpi%/JO i NER /,JPHONE `'ADDRESS
Q 00 (/ ONTR. OR AGENT ADDRESS
v -
PHONE STATE LICENSE BUILDING INSPECTOR
�/
0 L.